HomeMy WebLinkAbout888238 UN1TEI) STATES
DEPARTMENT OF TILE: INTERIOR
(i i l E
~ ~ ::!:~:,'~:'~i:~ BUI ,AU OF LAND MANAGEMENT
?:::~:' ~::: X~IGNMENT OF RECORD ~ITLE :INTEREST IN A
~:~=~ FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Mineral Leasing Act of i~20 (30 U.S.C. 181 et se~.)
Act for Acquired Lands of 1947 (30 U.S.C. 351-359)
~thermal Steam Act of 1970 (30 U,S;C. !001-1025) : :
of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508}
Type or print plainly in ink and sign In ink.
FORM APPROVED
OMB NO. i 004-0034
Expires: December 31,2001
Lease Serial ~o.
WYW. 147500
Lease Effective Date
(Anniversar7 Date)
February 1, 11999
qew Serial No.
PART A: ASSIGNMENT
1. ^ssl~nee* STONE ENERGY, L.L.C. ~;'
Street 1670 'Broadway, Suite 2800
City, State, ZtP Code Denver, Colorado 80202-4801
*If more than one assignee, check here [] and list the name(s) and address(es) of all additional assignees .0n the reverse of this form or on a
separate attached sheet of paper
This record title assignment is for: (Check oho [] Oil and Gas Lease~ or [] Geothermal Lease
lnterest eonveyed: (Check one or both, as appropriate) [] Record Title, [] Overriding Royalty, payment out of production or other similar
interests or payments
2. This assi[,nment conveys the following interest:
........... Land iDescriP'tion ' ' Percent of tntcrest ............ Percent of
Addlii~mal space on reverse, if heeded, Do not submit documems or ag:reenle:nts other than Owned Conveyed Retained Ox'e/riding Royalty
this Form; such documents Or agreements shall only be referenced here':n, or Similar Interests
Reserved Previously
reserved
or conveyed
a b c d e f
Township 24 Norlh~ ~ll~; 1 t2 West, 6th P,M- 100.00% 50.00% 50.00% None None
Section 19 SWU4NEI/4
Section 20: W Ill 8151i4
Seciion 30: Lots 14 NEI/4 NWU4, NEI/4 SWI/4
Section 31: Lots I-4, SI/2 NEll4, N I/2 gel/4 : 1~"~ ~) 8 5
Section 32: NWl/4 : PR P?GE o
Containing 7/39.88 acres more or less.
Lincoln County, Wyoming
SUbject tO the terms and conditions of that certain Farm0ut Agreemem dated effective
l, 2000 by and be ween Marathon Oil ~ornpany and Basin Exploration, Inc.,
August
amended.
LI~,!
88823a
FOR BLM USE ONLY --,DO NOT WRITE BELOW THIS _INE ?
UNITED STATES OF AMERICA
This assignment is approved solely for administrative purposes. APproval does not warrant that either party to this assignment holds legal or
equitable title to this lease.
:'~[ Assignment approved for above described lands;
Assignment approved effective /:: :::i} [::::
(Authorized Officer)
[] Assignment approved for attached land description
[] Assignment approved for land description indicated on reverse
of this fom~.
(Title) FOR ASSIGNktJ~re)
Part A. (Continued DNAL SPACE for Names and addresses of additio: :es in Item No. l~ifneeded, or for Land Descriptic ~o~ 2, if needed.
STATE OF OKLAItOMA )
) SS, [Wyoming Form]
COUNT"I OF KLAHOMA )
The foregoing instrument was acknowledged before mc by D.J.
Stone, Attorney-in-Fact of Marathon Oil Compan.y, iris 3l
December, 2001.
Witness my hand and official seal.
Notar)t Public
Phyllis A. Pace
My Commission Ex pires:
February 28, 2004
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
l, The Assign0r Certi:fies as oWmcr of an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the rights specified above.
2, Assignee certifies as follows: (a) Assignee is a citizen of the United States; an association of such citizens; a municipality; or a corporat on organized under the laws
of the United States or of any State or territory thereof. For the assignment of NPR-A leases, assignee is a citizen, n~t 0hal or resident alien of the United States or
association ofsoch cit zens, nationals, res dent aliens or private, public or municipal corporal OhS; (b) Assignee is not considered a minor Under. the laws of the State
in which the lands covered by this assignment are located; (c) Assignee's chargeable interests direct and indirect, n each public domain and acquired lands separately in
the sang State, do not exceed 246,080 acres in oil and gas lea~es (of which up to 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each leasing
District in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, or 51,200
acres in any one State if this is a geothermal lease; (d) Alt part e~ holding an interest in the assignment are otherwise in compliance with the regulations (43 CFR Group
3100 or 3200) and the authorizing Acts; (e) Assignee is in compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec. 17(g)
of the blineral Leasing Act; and (0 Assignee iS not in violation of sec. 4t of the Mineral Leasing Act.
3. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein.
For geothermal assignments, an overriding royally may not be less than one-fourth (%) of one percent of the value of output, nor greater than 50 percent of the rate of royalty
due to the United States when this assignment is added to all previously created overriding royalties 143 CFR 3241 ).
l ceaify that the smtements made herein byme are true. complete, and correct to the best of my knowled ge and belief and are made in good faith.
* Effective between the Parties August 1, 2000
Executed this ~ ~'~-'~-- dayof l' ~ ~, ~ ~ ~::-.-~ 2001
Name of Assignor as shown on current ]ease MARATHON OIL COMPANY
Please type or print
Assignor or
Attorney-in-fact
L/ * D,J. STONE
7301 N. W. Expressway
iAS'S'ignor's Address)
Oklahoma City, Oklahoma 7313
Executed this day of \ (2' gt i. AO. ('~Q 2002
STONE ENERGY, L.LC.
Assignee
(Signature) or
Denver District Land blanager
(City) (State) (Zip Code)
Public reporting burden for this form is estimated to average 30 minutes per response ncluding the time for reviewing mstrumions, gathering and maintaining data, and
completing and rev eve ng the tbrm Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land
Management, (1004-0034), Bureau Clearance Officer (WO-630), Mail Stop 401 I~, 1849 C Street, N.W., Washington, D.C. 20240.
-Title 18 U,S,C. Sec. 1001 makes it a crime for any person knowingly and willful ~y to make to any Department or agency of the United States any false, fictitious or fraudulent
ctatements or representations as to any matter within its jurisdiction.
"U,S. GPO: 1999-7744)04/41005
STATE OF COLORADO )
) SS.
COUNTY OF DENViER .)
The foregoing instrument was acknowledged before me this 22"~t day of January,
2002 by Michael iE, Cuba, as Denver District Land Managcr for Stone Energy, L.L.C.
Witness my hand and official seal.
My Cc) m miss ion Expi res:
Notary Pu§lic
387